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EVERNORTH DIRECT HEALTH LLC
NPI 1336986256
Clinic/Center in Saint Cloud, FL

Active since July 09, 2024CLIA 10D2311114 · Waiver
2950 LAKESHORE BLVD, SAINT CLOUD, FL 34769(623) 277-1190 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evernorth Direct Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH DIRECT HEALTH LLC (NPI 1336986256) is a healthcare organization registered as a clinic/center in Saint Cloud, Florida and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1336986256
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address2950 LAKESHORE BLVDSaint Cloud, FL 34769-1946
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(623) 277-1190
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1336986256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2950 LAKESHORE BLVD, Saint Cloud, FL 34769
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Other Names 1

Other NameCity Of St Cloud Health & Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2311114

Evernorth Direct Health LLC · Saint Cloud, FL
Active · expires Sep 16, 2026
CLIA Number10D2311114
Laboratory TypeOutpatient
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorKimberly Hutton
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health LLC2950 Lakeshore Blvd, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF FLORIDA MEDICAL PA
Clinic/Center (Multi-Specialty)
2950 LAKESHORE BLVD
SAINT CLOUD, FL 34769
Osceola County (407) 957-7217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1336986256. It was assigned to this organization in the NPPES registry on July 9, 2024. The provider is also known as City of St Cloud Health & Wellness Center.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 2950 Lakeshore Blvd, Saint Cloud, FL 34769. The listed phone number is (623) 277-1190.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2311114) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.